2008-20-Minutes for Meeting December 03,2007 Recorded 1/9/2008DESCHUTES COUNTY OFFICIAL RECORDS ~U~~~~~
NANCY BLANKENSHIP, COUNTY CLERK yJ J V
COMMISSIONERS' JOURNAL
.1..1.1 I. .l■ 01/09/2008 11;44;1 AM
.11..1 .......08-2
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Deschutes County Clerk
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Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
MINUTES OF MEETING
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
MONDAY, DECEMBER 3, 2007
Commissioners' Conference Room - Administration Building, Second Floor - 1300 NW Wall St., Bend
Present were Judge Michael Sullivan; Judge Stephen Forte; Ernie Mazorol, Court
Administrator; Dave Kanner, County Administrator; Erik Kropp, Deputy County
Administrator; citizen members Bev Clarno and Jack Blum; Ken Hales,
Community Justice; Jacques DeKalb, Defense Attorney; Deevy Holcomb, Juvenile
Community Justice; Sheriff Larry Blanton; Bob Smit, KIDS Center; Dan
Peddycord, Deschutes County Health; Hillary Saraceno, Commission on Children
& Families; Bob Warsaw, Oregon Youth Authority; and Becky McDonald, 9-1-1.
Also in attendance were Chief Andy Jordan, Bend Police Department; Chief Ron
Roberts, Redmond Police Department; Michael Dugan, District Attorney; Jacques
DeKalb, Defense Attorney; Tom Kipp, Oregon State Police; Rick Treleaven, Best
Care Treatment Services; Patrick Carey, Oregon Department of Human Services;
Mike Schiel of the Commission on Children & Families' Board; Gary Smith of the
Commission on Children & Families' Board and NAMI; Pam Marble and Bob
Marble, NAMI; Cathy Miller of Think Again Parents (Redmond); Pam Fortier and
Kate Erhart, CASA; Jessi Watkins, JBar J Youth Services; and citizens Andrea
Blum, Don Blum and William Kuhn. No representatives of the media were present.
1. Call to Order & Introductions.
The meeting was called to order at 3:30 p.m. Dave Kanner introduced newly
hired Deputy County Administrator Erik Kropp, who gave a brief overview of
his past work experience.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 1 of 8 Pages
2. November Minutes.
BLUM: Move that Cindy Powers be deleted from the minutes, as she was
not present.
JORDAN: Second.
Unanimous approval.
JORDAN: Move approval as amended.
BLUM: Second.
Approval was unanimous.
3. Public Comment.
Pam Marble of NAMI, said that NAMI has an affiliate meeting at St. Charles
monthly for families; the next one is on December 11 at 7:00 p.m., and seasonal
affective disorder is the main topic.
Jessie Watkins of J Bar J stated that last month LPSCC talked about alternatives.
She brought a sample of information that is being used in another county
concerning how youth are detained. She pointed out that Multnomah County's
crime Victims United is doing a study and a report should be issued in January.
William Kuhn asked that he and wife want to pose a question to the group.
Judge Sullivan said that it should be detailed in a letter to him, and it will be
decided prior to the next meeting if it fits into the agenda.
4. Reconnecting Children with Families Imitative.
Deevy Holcomb explained the pilot project, and Deschutes County is one site in
the State where it will be offered. Judge Forte has been invited to attend. It
would be good is a member of LPSCC is on the planning committee or at least
aware of the program.
The program includes intervention and prevention aspects that involve the local
Commission on Children & Families. This program will eventually go before
the Board of Commissioners for approval. Wasco County has taken it on as a
key initiative; it is a pilot project geared at prevention of future criminal
involvement. The target population is those children who are aging out of the
foster population. They often end up on the streets if they have no stable family
connections.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 2 of 8 Pages
This also addresses runaways that continually leave the foster care situation; in
general these are called delinquency and dependency cases. Fourteen counties
are involved in training at this point. It has been determined that family and
social connections equal more success as an adult. The judge has mandated that
these cases be addressed. Deschutes County has been able to get the support of
the Department of Human Services.
Pam Fortier of CASA has taken extensive training, and had to choose a case
that met the criteria. This case involved a 15-year old child whose mother
committed suicide, and there was no known father or other relatives. The six
stages of the process were followed, in order to try to identify anyone who had
a connection with this child. Kate Erhart and the Department of Human
Services were involved in this particular case.
Kate Erhart explained that this child had just a few distant family connections.
She tried first to connect with family members, and found those who were
concerned enough not necessarily for placement, but to get the child to a point
where he felt there was a place for him in the world. This resulted in a material
change in the child. After one year, he was receiving letters, cards and gifts
from these distant relatives. He became more stable and was then placed in
foster care. He is now in a situation where he has begun to think about others
and is establishing connections so that he does not feel so alone.
Ms. Fortier added that he had previously gone through three foster homes and
was at the Kirkland residential treatment center. He had mental health and
delinquency problems as well. He has now moved from that situation to
manageable mental health issues and is attending regular school.
Ms. Erhart stated that this involves a six-step process, consistent with the U.S.
Search System for family members, who were interviewed over the phone.
The Department of Human Services is very positive about the outcome; they
originally were negative.
Patrick Carey said that he had to be encouraged to begin this program. High
case loads are a big problem and they went into this carefully; the feeling is
now that it should be continued. It won't help them all, but definitely will help
some of these children. The State will try to get additional resources to
continue and expand the program.
Hillary Saraceno said that this is a model being adopted by other states. The
youth selected are usually the toughest cases.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 3 of 8 Pages
Judge Forte, who handles a majority of the dependency cases, added that it is a
powerful program, and gives these children a chance to make connections.
Many things had been tried but the connection with family and others can make
all the difference.
Mr. Carey said that the youth typically age out at 18, but sometimes later if they
are engaged at a high level in the schools. Judge Sullivan added that aging out
is a huge focal point, since if there is no system to support these youth they will
frequently get involved in criminal activities. He said that the book he recently
read, "Crazy", points out that the sense of connection is very important.
Ms. Saraceno said that this is for information only at this point; as the program
grows, they may need to seek out people to be on the steering committee. This
program demonstrates some similarities to the local drug court. Judge Sullivan
added that there are lots of areas he wishes has the cooperation seen in this
particular program.
5. Gang Intervention Grant.
Deevy Holcomb said that the Oregon Youth Authority released an RFP
regarding gang intervention services. The Legislature gives funding for this,
historically to more urban areas. The services are evidence-based. It involves a
model for a community-wide assessment of gang activities, and is meant to
involve all stakeholders. She asked Judge Sullivan to sign a letter of support for
the grant application for this purpose.
Chief Roberts noted that this is an important study, and would help cut through
some of the perception that gangs are not a reality. There are ongoing problems
with graffiti; it is not certain if this is gang-related but it is important to know.
Everyone needs to speak the same language on this issue. There are potentially
problems in the area, and it is a goal of Redmond Police Department to look at
this.
Chief Jordan agreed. He added that one could ask ten Officers and get ten
different answers, but it is worthwhile to know the reality.
Bob Warsaw, Mike Shiel, Jack Blum and others commented on the problem
with graffiti and the potential for gangs in the area. It was agreed that although
the problem may be small at this time, it is important not to wait until it is a
huge issue here.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 4 of 8 Pages
Dave Kanner asked if the grant covers all the cost or if there is a local match;
and whether it is high priority. Ms. Holcomb replied that no match is required,
and the assessment would be handled by an outside person to avoid a drain on
her department's resources. Mr. Kanner said that if the grant is not awarded, if
it is a priority the issue should come back to LPSCC to discuss how to address
the problem, and the school districts should be included.
Bob Warsaw stated that this type of study usually targets urban gangs, but rural
gangs can also develop and sometimes end up getting connected with others.
The Oregon Youth Authority promotes looking at this from the rural
perspective. Ernie Mazorol said that he supports these efforts; first you assess
the problem, and then you address intervention. Ken Hales added that this type
of program would not be owned by one agency, but should involve the efforts
of many agencies to make it cohesive.
Ms. Holcomb stated there is a grant application for $100,000 due on December
11 with the decision to be made in January. It includes an opportunity to
address and improve cultural competency and risk factors that lead youth
towards gangs. Community education is served by this grant as well.
DEKALB: Move approval of the LPSCC Chair's signature of the letter of
support.
WARSAW: Second.
The vote was unanimous in favor.
Judge Sullivan stated that an update on the grant and how to proceed if it isn't
awarded should be included on the February agenda.
6. Party Safe Home Initiative Proclamation.
Cathy Miller explained that a pamphlet for this program was started by Sisters
and Redmond, and La Pine is working on it now. There is also a lot of
literature for parents. It includes a pledge card in which an adult in the
household commits to a value of not giving minors alcohol or tobacco, and that
there will be no substance abuse allowed in the home. This communicates a
value system with protocol for consequences. In Redmond it went before the
City Council in the form of a proclamation. The County will be asked to
support the concept.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 5 of 8 Pages
Ms. Saraceno said that the Commission on Children & Families supports this
program. Mike Shiel said that he saw tragedies at Redmond High School
relating to graduation parties. They now have alcohol free and drug free
parties. This idea ought to be supported as much and as often as possible. Ms.
Miller added that this problem is increasing in middle school with 7th and Stn
graders.
Judge Sullivan noted that some people think it is a harmless activity and
rationalize it, but it can have disastrous results. It is worthy of support.
Ms. Fortier added that a lot of parents right now think they are the only ones
who are saying "no", but this information will be on a database so parents can
network. Chief Roberts said that this is easy for him to support, that it should
be taken head on and acknowledged. This is a strong way for parents to have
some level of comfort and expectation of what goes on in their kids' friends'
homes. Ms. Saraceno stated that Think Again Parents and other groups will
help to fund this program. It doesn't include Bend because the grant is limited,
but they want to get Bend's support.
ROBERTS: Move that a recommendation be made for the Board of
Commissioners to adopt a proclamation in this regard.
JORDAN: Second.
The vote was unanimously in favor.
6. Sage View at St. Charles.
Ken Hales said that at the last LPSCC meeting a comment was made that
perhaps Sage View is being underutilized and is not serving the intended
population. He met with representatives of Sage View and learned that it is a
15-bed facility for acute, short-term care for persons who are in imminent
danger of harming themselves or others. The emphasis is on those who are
unable to care for themselves, based on a physicians' review of the condition of
the person. The average stay is six days, but the person can stay up to thirty
days if there is a psychiatric commitment. There is an expectation that they will
be out before thirty days after being stabilized. The average population at a
given time is 11 to 13 people.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 6 of 8 Pages
Many stakeholders wanted longer-term placement, but Sage View is not
designed for that purpose. Many people have an interest in placing people in
the facility who do not meet the medical threshold of mental illness or special
difficulties but who are not at imminent risk. The funding is provided through
indigent resources.
Gary Smith agreed. The initial intention of Sage View was somewhat different.
The model was supposed to have three levels: acute, intermediate and long
term. The County did not operate it directly, and the driving force became how
to pay for it, and there were no funds available for long-term care.
Bob Marble said he spent six years on the Board of Directors for NAMI in
Oregon. His son suffers from mental illness and went through difficult times,
ending with his arrest. If something could have been done at the beginning of
his problem, it would not have become a big issue. The mobile crisis team has
been started which might help with this problem.
Rick Treleavan said that this is a tri-county issue. Public funds do not support
the beds and the cost is very high. A state hospital plan needs to be supported
by a community system as the state hospital plan shuts down throughout the
State. The State is trying to backfill with simpler, cheaper programs
Ken Hales stated that the issue seems to be not of one of service availability; it
seems to be voluntary or involuntary commitment. However, in most cases you
cannot hold someone if they do not want to be held.
Judge Sullivan said that there has to be clear and convincing evidence. It is
frustrating for the Judges as sometimes what they are forced to decide may not
be the best choice. He asked that Scott Johnson report in January on what kind
of innovations might be coming and how the mobile crisis team is working out.
7. Other Business.
Judge Sullivan said the LPSCC group is handling more business all the time
and thanked Ken Hales for his work in this regard. It helps to keep the group
focused and makes sure the items fit what statute requires.
Being no further discussion, the meeting adjourned at 4:55 p.m.
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 7 of 8 Pages
Respectfully submitted,
IV&Ai,
Recording Secretary
Attachments
Exhibit A: Sign-in sheets
Exhibit B: Agenda
Exhibit C: Commission on Children & Families - Reconnecting Children with
Families Initiative
Exhibit D: Gang Intervention Services Grant Request Letter
Exhibit E: Party Safe Home Initiative
Minutes of LPSCC Meeting Monday, December 3, 2007
Page 8 of 8 Pages
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DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL
o4v-res co`Z<
December 3, 2007; 3:30 pm, Allen Room, 2nd Floor County Administration Building, 1300 NW Wall, Bend, OR
December Business Meeting
Agenda
I Call to Order & Introductions
Judge Sullivan
II November Minutes Attachment 1
Judge Sullivan
Action: Approve November minutes
III Public Comment
Judge Sullivan
IV Reconnecting Children with Families Initiative Attachment 2
Hillary Saracen
Provide program update
V Gang Intervention Grant Attachment 3
Deevy Holcomb
Action: Authorize Chairmen sign letter of support
V Party Safe Home Initiative Proclamation Attachment 4
Cathy Miller
Action: Request Council's recommendation that BoCC adopts proclamation
VI Sage View at St. Charles
Ken Hales
Update on program services
VII Other Business
Judge Sullivan
Attachment 2
Deschutes County Commission on Children & Families
Reconnecting Children with Families Initiative - Pilot Project
SEPTEMBER 2007 PROGRESS REPORT
The Goal
The Goal of the Reconnecting Foster Care Children with Families Initiative is to provide an avenue
to connect or reconnect foster children with their relatives. It is a collaborative effort between the
Department of Human Services (DHS) and the State Commission on Children and Families. The
purpose is to assist DHS in identifying, searching for, and ultimately establishing safe, sustainable
connections between foster children and their relatives.
Primary Outcomes
1. Increase the number of youth "aging out" of foster care with durable family connections.
2. Increase the number of youth who are prepared to reconnect with family members, which
may include siblings.
3. Increase placement resources for youth while in care or after care.
Secondary Outcomes
1. Increase agency collaboration across systems for youth and families.
2. Work for system change in the alignment of policies and resources for reconnecting children
and youth with their families.
3. Increase percentage of youth reconnected with families who gain permanent housing within
2 years of leaving foster care.
The Children
The Department of Human Services has referred 20 children statewide to the project for the
purpose of safely connecting or reconnecting them with relatives. The youth are 16 years and older,
have been in foster care for 18 to 20 months, do not reside with a relative and have not established a
permanent plan for reunification, adoption or guardianship.
The Local Team
The model stresses partnership and collaboration in connecting youth in the foster care system with
family members. Each of the participating pilot sites in the state established a team of providers who
attended the trainings and worked together to apply the concepts learned in the training to an actual
case study. The Deschutes County team was established through a partnerships agreement with the
local Commission on Children & Families, the local Department of Human Services, and the Tri-
County CASA agencies. All three agencies contributed resources to participate in the pilot project.
The local team attending the trainings:
1. Kathleen Buchser, DHS Case Worker
2. Kate Erhart, CASA Volunteer
3. Pamela Fortier, Tri-County CASA Program Manager
Reconnecting Children w/Families Initiative Report 9.07 Page 1 of 10 12/3/2007
The Training
To date, twelve county teams have been trained by nationally-known trainer Kevin Campbell on
how to use the Family Find model that he helped to design a few years ago. Beginning fall 2006, the
teams participated in seven, day long training sessions over a six month period of time (one initial
orientation and overview meeting followed by six training session). The teams met once a month for
training and the training introduced the teams to one of the six steps for family finding.
Six Steps for Family Finding
Step One: Discovery
Goah Create more options for support and planning
Practice: Identify at least 40 family members for the child. Include efforts to identify other
adults who can or have in the past been a key supporter of the child or parents. In
many situations you can expect to learn of a hundred or more relatives and others
connected to the child or young person.
Step Two: Engagement
Goal.' Engage those who know the child best and have an historic and/or inherent
connection in helping the child by sharing information and helping.
Practice: Through the use of a unique and individualized engagement strategy, enlist the
support of as many family members and others important to the child or family to
participate in providing important information helpful to the child. Begin preparing
family members and others to assist the social worker with decision making and
participate in supporting the young person through committed relationships.
Step Three: Planning
Goah Hold meetings with the participation of parents, family members and others
important to the child focused on planning for a successful future of the child or
young person.
Practice: Bring identified family members and others who care about the child together to
learn more about the young person's essential, lifelong need for support and
affection. Participants must have a voice in the process. The social worker and court
will make final decisions that include consideration of the team's perspective about
the future of the child or young person. Challenges will be identified and solutions
created. Planning will be done on a "Plans fail, our children do not" basis.
Step Four: Decision-Making
Goak The team with the social worker will make timely decisions that provide the
young persons with appropriate levels of affection and belonging that are
expected to be enduring.
Practice: The team involved in planning will work with a sense of urgency, fully and candidly
informed about the needs of the child or young person and the expected
consequences of not having a safe "forever family". The team will be prepared to
:econnecnng l.tuitlren w/Panuhes Initiative Report 9.07 Page 2 of 10 12/3/2007
make key, informed decisions about the future of the young person, including their
safety, physical and emotional well-being and belonging in a life-time family. Teams
will meet with an understanding that long-term placement(s) without legal
permanency are not considered a successful decision.
Step Five: Evaluation
Goak An inclusive, individualized and unconditional plan to achieve the legal and
emotional permanency has been created with a time line for completion.
Practice: The team has successfully "foreseen" the likelihood that their plans for the child and
young person are safe, stable and lasting. Adults who are caring for the child have
adequate and lasting support and key relationships with siblings, family members and
others important to the child continue.
Key evaluation questions:
1. If this iteration of our plan fails, will the child remain or return to the foster
care system?
2. Have we identified and encouraged an adequate level of enduring support for
the child and their caregivers?
3. Has the team created a plan that includes family members and other adults
willing to offer their support if the Plan "A" option is unsuccessful?
4. Are there at least three options?
5. There is a plan and commitment that if challenges arise which threaten the
child's safety and stability the team will reconvene. A member of the team is
elected to organize/ facilitate future meetings.
Step Six: Support System
Goak The team will have supported the child or young person and their family to plan for
and access essential and informal support.
Practice: The team will actively support children, young people and caregivers to successfully
access services, supports and key relationships. Teams will emphasize natural and
community supports that are the most normative and enduring.
Deschutes County Case Study & Discovery Reports (please see Attachments 1 & 2)
Resources Utilized For Project (to date)
1. Staff and Volunteer Time for Training: - 50 hours to participate in orientation and training
for "train-the-trainer" approach. Three local team members have completed the training and
estimate it will take - 15hours/staff member or volunteer to train local DHS staff and
CASA volunteers on how to utilize this strategy (3 hours initial overview and 12 hours for
actual training).
2. Staff and Volunteer Time to work through the Six Step Process: In addition to the above
training hours, DHS case worker spent -20 hours on the case and CASA volunteer spent
approximately 30 hours on case coordination (meetings/research/contacts/travel time) and
10 hours on family outreach phone calls for the case.
Reconnecting Children w/Fan lies Initiative Report 9.07 Page 3 of 10 12/3/2007
3. Searches: Based on initial findings from Deschutes and other participating pilot sites, it will
take an estimated average of 4-5 phone calls for searches via the U.S. Search.com per case @
$25/search (-$100 per case).
4. Phone Calls: The number of long distance phone calls was not tracked, but there were
numerous calls made for outreach to family members. While long distance charges were not
an issue for the CASA volunteer participating in the project, it could be a barrier for others.
5. Mileage/travel: The CASA volunteer made 19 trips to Burns for family outreach visits in the
past six months.
Outcomes
The project was found to be a successful, effective and worthwhile approach not only for the youth
but also for participating agency partners. Treatment reviews were particularly helpful and having
the CASA volunteer assisting made "life easier" for case worker. As the case evolved, the
improvement being observed in the youth energized the case worker to become more invested in,
and enthusiastic about, both the case and the project.
Other positive findings from Deschutes County and other counties participating included:
1. All of the targeted primary outcomes for project were met and two of the three secondary
outcomes were met. See the September 2007 Reconnecting Children With Families Progress
Report for more details.
2. Before the search, the participating youth had only four known relatives and after the search
process he had fourteen. The youth's behavior and outlook, as well as his emotional state,
have improved and he is in the process of transitioning out of residential care to a
permanent home placement.
3. At the beginning of the project, ten of the youth involved in case studies throughout the
state had "missing fathers". Three of the fathers and ten paternal relatives were found. Many
learned a lot about their families and where they came from.
4. Before the study, the average number of known relatives per youth involved in the search
was five, the average after doing the search was twenty-three confirmed relatives per youth.
The average amount of time the participating youth had been in foster care was 6 years and
3 months (see attached chart of before and after data).
Resource Commitment to Sustain Pilot Project for Six More Months
1. Staff and Volunteer Time: Utilize the same three team members that have already been
trained and continue the pilot project for six more months on three more case studies. The
CASA director is working with the DHS case worker to identify three new case studies for
the local project and to identify appropriate CASA volunteers to pair with the youth. It will
take team members - 15 hours to train staff and volunteers new to the project on how to
utilize this strategy (3 hours initial overview and 12 hours for actual training). CASA will
continue with the coordination role and the estimated time commitment is - 10 hours per
week (.25 FTE). The coordinator will serve as the contact person for searches and will
oversee and lead implementation for the project, the trainings of volunteers, information
tracking and record keeping. Estimated cost for .25 FTE Coordinator is -$200/week or
$700 to $800/month).
2. Searches: U.S. Search system calls will be made utilizing the local DHS office resources. The
$25 fee per search and the associated supplies (paper & printing) will be covered by local
DHS (estimate -$100/case).
Reconnecting Children w/Families Initiative Report 9.07 Page 4 of 10 12/3/2007
3. Phone Calls: DHS will provide phone cards and/or accommodate the CASA volunteers to
allow use of the DHS phones for long distance calls related to the case studies.
4. Mileage/travel: DHS has offered the use of State cars to CASA volunteers who travel out of
county for family outreach visits. Volunteers would go through DHS volunteer program to
use state vehicles when needed.
Other Potential Resources
1. Clackamas County (Barbara Johnson) has developed cost-effective system for implementing
U.S. Search.com. Need to research.
2. Research feasibility and criteria for using "System of Care" funds currently used to assist
individual children, youth and families to get services needed and to bring families together.
3. Oregon Commission on Children & Families applying for federal grant to support
implementation of a statewide initiative.
4. Contact Marion County to learn how they were able to obtain $50,000 donation from
Catholic Community services for the project.
Challenges
1. Monetary and non-monetary resources are needed to sustain the project. In addition, an
implementation plan, and project budget with a funding package and resource
recommendations will need to be developed.
2. The local DHS office is a key partner in the success of this initiative and their participation
in the next steps will be critical. There are a couple of challenges that have been identified
that may delay the local project's progress:
a. Timing - DHS is implementing Oregon Safety Model and will take a significant
amount of staff time for training and transition.
b. Initiative will need buy-in from DHS case workers and staff. The six step approach
and search process is a change in the current operating procedures. The approach is
reliant on a strong inter-agency team approach with CASA volunteers working in
partnership with DHS case workers Emphasis needs to be placed on benefits of
approach and that it is intended to augment roles of team members, not take away
from roles or to increase work loads.
3. The local CASA is also a key partner in the success of this initiative and their participation
in the next steps will be critical. The recent resignation of the local CASA executive
director, who was very supportive of the project, recently resigned and this may delay the
local project's progress.
Recommendation to continue with Project
The local DHS has always valued the need to find and connect children with their families. There
are many aspects of the pilot project that could be integrated into current operations and that would
greatly enhance the effectiveness of current practice, with the help of CASA volunteers. The
participating agency partners recommend continuation of the pilot for six more months, to expand
the project to include -3 additional cases with the same agency team members, and to re-evaluate
the project in six months.
Reconnecting Children w/Families Initiative Report 9.07 Page 5 of 10 12/3/2007
2007-09 Recommended Goals
1. Utilizing the same team, continue with pilot for six more months and add three additional
case studies.
2. Continue to target older children "aging out" of foster care system but allow the team
discretion for exceptions.
3. Develop criteria for how children and/or youth will be selected.
4. Develop clearly defined expectations for each team member's role and function.
5. Introduce strategy concept to case workers via peer sharing? Training plan? (DHS, CASA?)
6. Engage Juvenile Court, Juvenile Community Justice, Circuit Court? District Attorneys?
7. Re-evaluate project in six months. If successful and there is agreement to proceed among
community partners, develop an expanded implementation and sustainability plan, including
a recommended funding package and resource recommendations.
Reconnecting Children w/Families Initiative Report 9.07 Page 6 of 10 12/3/2007
Number of Relatives Before and Found After the Search
and # of Hours Used per Youth
Youth
Years in Foster Care
# of Relatives
# of Hours
Before
Found
Used
1
5
2
20
20
2
1
5
60
5
3
13
5
32
28
4
10
13
2+
5
5
6
1
4
15
6
6
4
15
15
7
6
4
15
15
8
5
4
35
4
9
4
5
39
16
10
8
0
40
16
11
Unknown
3
41
?
112
17
3
36
15
13
10
1
2
< 1
14
5.5
4
8
6
15
10
0
2
1
16
4
3
50
6
17
3
2
3
1
18
3
12
28
8
19
7
12
28
7
20
5
9
16
?
21
3
3
12
?
Total
131.5
95
488
184
Average of. (rounded):
Years of youth in foster care:
Relatives before search:
Relatives found after search:
Number of hours used in search
6 years and 3 months
5 relatives
23 relatives
9 hours
xeconnecang k-ruldren w/harruhes Iruhative Report 9.07 page 7 of 10 12/3/2007
ATTACHMENT ONE
Reconnecting Children with Their Families Initiative
Deschutes County Report
Team Members: Kate Erhart, Court Appointed Special Advocate (CASA)
Pam Fortier, CASA Program Manager
Kathleen Buchser, Department of Human Resources Caseworker
An adolescent male was taken into Department of Human Services (DHS) custody in July of
2006 due to parental alcohol abuse and abandonment. The youth was 15 at the time and he
was placed in substitute care at the Christian Community Center (CCPC) in Salem, Oregon
on an emergency 90-day contract. The youth's mother committed suicide the day after he
was placed at CCPC. His behavior deteriorated at CCPC and he was moved twice within the
CCPC program after his initial placement due to his inability to get along with peers and his
inability to take direction from his foster fathers. In early September, 2006, a placement was
secured for the youth at the Kirkland Institute, a residential program in Burns.
The 15 year old initially made little progress at Kirkland, often throwing tantrums like a very
young child. He was experiencing grief over his mother's suicide and suffering from his own
serious mental health issues. In addition, he had to deal with living in a structured
environment that was totally out of the norm of his previous life. The whereabouts of his
biological father was unknown, his father had not had a parenting relationship for at least 10
years, and the youth had no desire to resume contact with him. At the time the participating
went to Kirkland, his 19 year old half-sister was living in Sisters.
Initially when this case was chosen for Reconnecting Families, DHS had identified two
maternal aunts (Texas and Mississippi), one maternal half-uncle (Texas), his half-sister
(Sisters, Oregon), and an ex-stepfather (whereabouts unknown). Before his mother's death,
the aunts visited the family once a year. In the Discovery Stage of Family Finding, it was
discovered the youth's mother was adopted as an infant by a family in Texas. Information
gathered on the mother's biological family revealed the youth's maternal grandmother and
and great grandmother mother had also committed suicide and that his mother has 2
biological sisters (name and whereabouts unknown at this time).
In the Engagement Stage, the half-uncle established contact with the youth and the
youth's seven cousins now correspond regularly with him by mail, providing photographs
and letters. The aunts also established regular contact and his half-sister visited him as often
as possible at Kirkland. Two of his mother's friends were also identified and they now have
contact with the youth and planned visits with him at Kirkland and correspond by phone
and through letters.
Since implementing the "6 Steps for Family Finding" the youth has made great strides. His
behavior improved and his outlook appears to also have improved. Kirkland began a
"scrapbook" project with him to compile family photographs. This was pivotal in his
progress. It has given him a basis for conversation with his extended family members and a
sense of belonging.
The youth's family is now involved in the plans for his success in the world as an adult. In
April, 2007, his two aunts came to Oregon and met with the Kirkland staff, the youth and
his half-sister, DHS, and CASA. The Kirkland staff was appreciative of the "history"
Reconnecting Children w/Families Initiative Report 9.07 Page 8 of 10 12/3/2007
provided due to the Family Finding efforts and comments were made how helpful it would
have been to have the depth of family background/connections at the onset of the youth's
treatment. In the Planning and Decision Making stage of Family Finding, the aunts and
half-sister were instrumental in developing and deciding the youth's plan for his future as a
young adult aging out of the foster care system. Three plans were identified, with permanent
foster care with a couple, as the best and least restrictive option for him; the second option
was foster care; and the third option a group home. Since that meeting, the youth's half-
sister moved to Mississippi to live with her aunt.
Since the meeting at Kirkland in April, CASA has seen the youth 19 times (basically twice a
month). He has done really well for much of the time, but when school at Kirkland ended
for him his behavior deteriorated. This coincided with being moved into a different living
situation with a group of boys who are older. He was uncomfortable with them and also
bored with the schedule at Kirkland since there was no summer school of any substance. He
has expressed frustration that his schooling has suffered and he is not at the appropriate
level for his age. The behavior change also followed his sister's move to Mississippi. He
claimed not to have time to write to his aunts, but they continued to write to him, and his
sister phoned him several times.
Most recently, DHS has identified a placement for him in a foster home in Enterprise, OR.
He is very excited about the change and scared as well. CASA and the youth have talked
about what the town is like and what school might be like. He has had one home visit and is
scheduled for a second. He is thrilled about the location, the foster parents, and the
environment. He told me that he did not want to return to Kirkland after the first visit. The
staff at Kirkland is worried that he will not succeed in the foster home and they are
requesting several home visits before approving his transfer out of Kirkland.
The youth's first visit to the new foster home was a resounding success, and it is expected
think things will go really well with some rocky spots. He is very excited about the family.
There are horses to ride, he can bring his dog to live with him, and he can ride his bike. He'll
be in school and understands that he needs some remedial work. The foster parents
understand that he might have potential problems once the 'honeymoon' is over and are
fully prepared to help him work things out. His aunts had committed to a visit once every 6
months and are delaying the next visit until he gets settled in Enterprise. The youth just
received a card from his uncle with a photo and is pretty excited about finally making that
connection. Right now the youth is looking at the foster home as a temporary placement
until he can get a job and be on his own. It is apparent he really likes the foster parents, that
they like him, and that there is potential for a real and lasting connection.
It appears the youth has made lasting connections through the Reconnecting Children with
Families effort. The goal of an inclusive, individualized and unconditional plan to achieve
emotional permanency is underway. The Finding Families effort does not end for the youth,
but continues with family, agency, and CASA support to ensure he successfully transitions
out of foster care.
Reconnecting Children w/Families Initiative Report 9.07 Page 9 of 10 12/3/2007
ATTACHMENT TWO
Reconnecting Children with Their Families Initiative
WASCO County Report
Team Members: Leslie Hanna, Wasco County Youth Services
Larry Morisette, Oregon Department of Human Services Debbi Baskins,
Court Appointed Special Advocate (CASA)
Discovery:
17 y.o. girl who has been involved in the juvenile justice system since she was 12 years old.
This youth was originally cited for Disorderly Conduct when she was in middle school and
was placed on a diversion. By continually failing to attend school and running away from her
mother's care, she was eventually placed on formal probation through the court. She has
numerous probation violations and continues to put herself at risk of harm by running away
and associating with known drug users. The Juvenile Department issued a warrant in
November, 2006 and her whereabouts are still unknown.
When we started family finding, the only relative that we had contact with was her mother,
who has been given less than a year to live due to a terminal illness. The only other known
relative was her father, who is alleged to have kidnapped this youth when she was an infant
and was an alleged drug dealer. The youth's mother was interviewed by a team member and
a family tree was completed. The mother shared some family history and stated that she and
her daughter fled to Oregon to get away from the father and that their whereabouts are not
known to him.
Through the family finding process, several relatives were identified as people who love this
youth but have not had contact with her for an extended period of time. She has been
completely isolated from her extended family by her mother due to most of the relatives
being located in Arizona, the mother's illness and financial difficulties. Messages have been
left with relatives on their answering machines and letters have been sent expressing the
urgency of this young person's situation.
The goal of this team is to have a network of relatives and support people in place when this
youth is located. When she is arrested on the outstanding warrant, she will be lodged in the
local detention facility and where she goes from there will be assessed at that time with her
state of well-being taken into consideration. It is known that she is still in this community
and is reported to be residing with her boyfriend who has recent convictions for possession
of methamphetamine. It has also been reported that she may be pregnant. This is a youth
who is in a state of crisis. She knows that she has a warrant out for her and that she cannot
return to her mother's home even though she has expressed through letters to her mother
her desire to see her and to reassure her that she is okay.
This is a youth who does not know her family and will soon lose all connections with her
mother's passing. It is critical to pull in family members who are able to show their support
for this youth and to provide this youth with a sense of love and belonging.
neconnecong Lruidren w/harrvhcs Init ative Report 9.07 Page 10 of 10 12/3/2007
. -r r= C2
December 3, 2007
Gang Intervention Services RFA Selection Committee
Oregon Youth Authority
530 Center St., Suite 200
Salem, Oregon 97302-3765
Dear Selection Committee,
On behalf of the Deschutes County Local Public Safety Coordinating Council (LPSCC), I am writing
to support this application by Deschutes County Juvenile Community justice in response to your
Request for Application to provide gang assessment, prevention and intervention services.
The application focuses on two items: accurately assessing the extent of youth gang development in
our region and improving services to Latino and Spanish speaking youth and families at high-risk of
contact with the justice system for gang-influenced behavior.
It is crucial to gain understanding of the extent of youth gang development in our area. Each locale
experiences gang development individually, dependent on a number of cultural, economic and legal
factors. The LPSCC looks forward to the opportunity to assess our community using the evidence-
based method used by many jurisdictions in the United States, to be better prepared to address the
issue in a more effective manner.
We also support the grant's request to increase culturally competent service capacity to high-risk Latino
youth and their families who come into contact with the juvenile justice and school systems due to
alleged gang influenced behavior. Latinos comprise a small but fast growing part of our community's
population and a disproportionate number of youth identified by law enforcement and other public
service officials (schools, etc) as being gang influenced or involved are Latino. It is vital to create
equitable, culturally competent services to increase the protective factors of high-risk Latino youth and
their families and prevent the social and cultural alienation that can promote gang development.
The LPSCC has reviewed the activities and goals of this application and supports its submission. It
will participate in the assessment process and assist in any subsequent endeavors to both prevent
further gang development in our community and intervene effectively where it does exist.
Sincerely,
c
Honorable Michael C. Sullivan, Presiding Judge, Deschutes County Circuit Court
LPSCC Chair
Quality Services Performed with Pride
`J
a~'ES DIVIS101
MULTNOMP,H COUNTY DEP1-. OF COMMUNI-(Y J()STICE - LjVERi)4.€ '4 , urv z~ iv
RISK ASSESSMENT INSTRUMENT (RAI) Veralo
I This paper form is to be used only when JJIS is unavailable. It must be entered into JJ at M as it is available. I
Date/time youth brought to Custody Services Intake:
Date/Time of Intake Screening:
NAME: DOB:
JJIS# Ref.#
rAUTOMATIC DETENTION CASES
(CIRCL "DETAIN" IF A11Y ANSW
E'LIES'
_
❑ Adult Detainer
❑ Court Order r] Measure 11 Charge or Warrant
❑ Escape From Secure Custody ❑ Other County Warrant
❑ Firearm /Destructive Device (not hoax) ❑ Out-of-State Runaway
❑ Immigration & Customs Enforcement Detainer ❑ Out-of-State Warrant
❑ Material Witness Warrant El Parole Violator with New Felony or Warrant
etain
MOST SERIOUS INSTANT OFFENSE (NOT SCORED - INFORMATION ONLY CHECK, MOST, SERIOUS
Intentional homicide (aggravated murder, murder)
Attempted Murder or Class A Felonies involving violence or use or threatened use of a weapon
(including Rape I, Sodomy 1, and Unlawful Sexual Penetration ! involving forcible compulsion)
Class B Felonies involving violence or use or threatened use of a weapon
Rape I, Sodomy 1, Sexual Penetration I not involving forcible compulsion
Class C Felony involving violence or use or threatened use of a weapon
All other Class A and B Felonies
All other Class C Felonies
Misdemeanor involving violence, or possession, use or threatened use of a weapon
All other Misdemeanors
Probation/Parole Violation
Other, e.g., status offense (MIP, runaway, curfew, etc.)
LEGAL STATUS (C ROLE THE f, HES A'ICAB SC , f~NLY}
Currently under Juvenile Justice/OYA or
other state or County supervision: EITHER: Probation /Parole /Commitment to YCF ❑
2
(If this section applies, score either 2 or 1, OR: Informal Supervision ❑
not both)
1
f`!!OST SE~!rJ!.!~'I=l~ EC) FFFRSE :•i. , f'. ~3~ GIRD LE'11~0~~ ( )
( C S
Pending trial (or disposition) on a law violation/probation violation (petition filed). Score only most serious pending
offense. No score for misdemeanor petitions over 6 months old, unless there is an outstanding warrant.
Intentional homicide (aggravated murder, murder)
17
Attempted Murder or Class A Felonies involving violence or use or threatened use of a weapon
(including Rape I, Sodom I, and Unlawful Sexual Penetration I involving forcible compulsion)
12
Class B Felonies involving violence or use or threatened use of a weapon
8
Rape I Sodom I Sexual Penetration I not involving forcible compulsion
7
Class C Felon involving violence or use or threatened use of a weapon
6
All other Class A and B Felonies
5
All other Class C Felonies
3
Misdemeanor involving violence or possession, use or threatened use of a weapon
3
All other Misdemeanors
1
Probation/Parole Violation
1
Other e. status offense MIP runaway, curfew, etc.
0
SCORE RANGE FOR SECTION: 0 to 19 SCORE
y-
RAI
BEFORE THE BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
PROCLAMATION
Whereas, Think Again Parents (TAPS) Substance Abuse Prevention Team
of Redmond is striving to build a communication venue for parents who share a
positive value system; and
Whereas, parents and community working together can make a tremendous
difference in the lives of our children; and
Whereas, TAPS is working to create a network of parents helping each
other prevent alcohol, tobacco and other drug use in our youth by implementing
the Party Safe Home Initiative; and
Whereas, TAPS plans to target middle and high school families in the hope
that the Party Safe Home Initiative will have a positive impact on the youth and
families of Redmond and the County, and function as a continuing support network
for both parents and children;
Now, therefore, we, the Deschutes County Board of Commissioners, on
behalf of the residents of Deschutes County, do hereby proclaim support of the
Party Safe Home Initiative and other programs of TAPS.
DATED this U
Board of Commissioners.
ATTEST:
qoAu4i- r6r~
day of January 2008 by the Deschutes County
Dennis R. Luke, Chair
Tammy aney, Com issioner
Michael M. Daly, ommissioner
Recording Secretary
For Recording Stamp Only
Attachment 4
Sampl e
City of Redmond
PROCLAMATION
WHEREAS, Think Again ParentS (TAPS) Substance Abuse Prevention Team of Redmond
is striving to build a communication venue for parents who share a positive value
system; and
WHEREAS, parents and community working together can make a tremendous
difference in the lives of our children; and
WHEREAS, TAPS is working to create a network of parents helping each other prevent
alcohol, tobacco and other drug use In our youth by implementing the Party Safe
Home Initiative; and
WHEREAS, TAPS plans to target middle and high school families, hoping the Party Safe
Home Inltlatlve will have a positive Impact on the youth and families of Redmond and
function as a continuing support network for both parents and children.
NOW, THEREFORE, BE IT RESOLVED, that the Redmond City Council does hereby
proclaim their support for implementation of the
Party Safe Home Initiative
IN WITNESS WHEREOF, I, Alan Unger, Mayor of the City of Redmond, hereby set my
hand and cause the Seal of the City of Redmond to be affixed. Done this 14th day of
August 2007.
Alan Unger, Mayor
ATTEST:
Patricia Freouff, City Recorder
ThimnkAgaimnParentS
Substance Abuse Prevention Team of Redmond
PartySafeHomes
~J
C/o BestCare Treatment Services
P.O. Box 1710
Redmond, OR 97756
ThinkAgainParentS
Substance Abuse Prevention Team of Redmond
Dear Parents,
The Think Again ParentS, Substance Abuse Prevention Team of Redmond along with local law enforce-
ment is proud to announce the Party Safe Home initiative. This initiative brings parents together to provide greater
insight into the problems of adolescent drug/alcohol abuse. The goal also is to create a network of parents helping
each other prevent alcohol, illegal drug and tobacco use:
• at parties
• in our homes
• among their peers
• at school activities
• at social events.
Our children encounter many tough choices. Undoubtedly, one choice every child must make is whether or
not to use alcohol or other drugs. The choices they make in this regard can have a profound impact on their lives
and on the lives of others.
Many young people choose to experiment with alcohol and other drugs because of their easy availability and
social acceptability. Research demonstrates two-thirds of high school seniors will have experimented with alcohol
or other drugs before graduation. Therefore, parents should anticipate the possibility their children will follow the
crowd and experiment with drugs and alcohol. TAPS and local law enforcement encourage you to become educated
about alcohol and other commonly used illegal substances.
Our schools provide alcohol and drug education to every student in his/her health education program and
through other activities. Our schools also provide many alternative activities. But schools alone cannot prevent alco-
hol and other drug use and abuse. Prevention starts at home.
You as parents are the primary educators of your children and you can help your children make good deci-
sions about drugs and alcohol. Other parents are as concerned as you are about drug/alcohol use among our chil-
dren and their peers. You are not alone. This booklet is your resource to educate yourself and network with other
committed, concerned parents. We believe when parents join together and take a united stand against alcohol and
other drug use, they become much more effective than if they acted separately. This handbook should be kept read-
ily available. Refer to it when you are in need of information.
Please indicate your willingness to join with other concerned parents to make your home party-safe. Com-
plete and return the attached pledge card to TAPS at the address above.
sue.
Cathy Miller Vickie Fleming
TAPS, Redmond Chair Superintendent Redmond School District
Chief Ron Roberts
Redmond Police Department
UX(Lm (4~-
Alan Unger
Redmond City Mayor
4Z ThinkAgainkentS
Mission Statement
TAPS is committed to reducing adolescent substance abuse among young people and keeping our
community healthy.
Think Again ParentS Goal
The TAPS coalition's goal is to prevent substance abuse in the young people of the Redmond community.
TAPS aims to be proactive and responsive to local substance abuse issues. By educating the community
and providing awareness of these issues, TAPS encourages other community members to get involved and
help make a positive change for the young people of Redmond.
The problems of alcohol and drug use among youth is not unique to Central Oregon or the
Redmond Community. What is unique is that we are taking a proactive, community-wide
approach to addressing the problem and protecting our children.
This is not a legally binding contract, but rather an "Agreement" between the participating network of parents.
A special thanks to our sponsors:
McDonalds
Coffee Pros
Garrison Welding
D/H Texaco
Pappy's Pizzeria
Texaco
Bend Hometown Mortgage
1st Rate Mortgage
Richard Little, CPA
Band of the Cascades
GS&S
C & L Printing
14 PartySafeHomes
Redmond
Bring this coupon in and get Locations.
504 off any 16 oz. hot or r _ Expires 6-30-2008. I
„a Aft
iced latte or mocha.
Please 1 per customer.
This is not a legally binding contract, but rather an
"Agreement" between the participating network of parents.
T
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Alcohol
What effect does alcohol have on the body?
The effects of alcohol depend on the amount consumed, body size, and tolerance. Repeated or chronic use
of alcohol results in damage to the brain, liver and stomach. The effects of alcohol can range from a mild,
relaxed euphoria to mental confusion, respiratory depression and death.
Why does alcohol harm our youth even more than adults?
Physically - Because of the changes occurring throughout their brains, adolescents may be less sensitive
to certain drug effects but more sensitive to other effects of drugs. In the case of alcohol, adolescents ap-
pear to be less sensitive to the effect alcohol has on their ability to self-monitor their level of intoxication,
thus permitting high levels of intake associated with binge drinking. Yet, adolescents are more sensitive to
the alcohol-induced disruptions in learning, memory, judgment and motor skills.
Behaviorally - Teens cannot judge their own limits. Alcohol has been responsible for countless injuries
and deaths by car crashes, falls, fighting, drowning, and alcohol poisoning.
Emotionally - New, strong and puzzling feelings are normal for teenagers. Stress and tension are com-
mon. Alcohol abuse can block emotional growth, drive friends away, and lead to feelings of failure.
Sexually - Teenagers must learn to make adult choices about sex. Alcohol turns off judgment, leading to
promiscuous sex, unintended pregnancies, and the spread of sexually transmitted diseases, including AIDS.
Academically - Lack of concentration and motivation, missed assignments, and truancy are signs of drug
or alcohol use and often results in students dropping out of school.
Legally - Drunken behavior including driving can lead to a police record. Driving under the influence or
having passengers who are drunk can result in the loss of driver's license and insurance coverage. A signifi-
cant percentage of crimes in Deschutes County by juveniles are committed while the juvenile is under the
influence of alcohol or an illegal substance.
Marijuana
What is marijuana?
Marijuana is a mind altering drug which results in a euphoric "high." Marijuana is easily absorbed into the body.
There are over 421 chemicals in marijuana. When smoked, the number of chemicals increases to over 2,000. The
marijuana grown today is up to 10 times more potent than that used before 1970.
How long does marijuana stay in the body?
The marijuana "high" is short lived, but traces remain
in the body for up to 21 days. Marijuana is readily
absorbed in to the brain, liver, lungs, spleen, lymphoid
tissues and sex organs.
What are the health hazards of using marijuana?
The Brain:
Seriously interferes with psychological functioning,
personality development and emotional growth; impairs
memory, concentration and comprehension.
The Lungs:
Weakens the ability to fight bacterial infections. It is
more toxic than regular tobacco (5 joints of marijuana
are more irritating to the lungs than 6 packs of cigarettes
per week).
The Reproductive System:
Males - Decrease in sperm count and mobility; increase
in abnormally formed sperm.
Females - Changes in the menstrual cycle; can cause
several types of birth defects; babies can be born ad-
dicted to marijuana.
Is it dangerous to mix marijuana with alcohol?
Yes. When the alcohol-intoxicated person mixes alcohol
with marijuana, he is more likely to suffer alcohol poisoning.
When do children start using marijuana?
The average age of first marijuana use has dropped to
11 years. The average length of time a child uses mari-
juana before being detected by parents is two years.
What does marijuana paraphernalia look like?
Marijuana paraphernalia does not have to be sophis-
ticated. Pipes (fancy pipes, corncob pipes, or pipes
fashioned from toilet tissue rolls and aluminum foil or
cans), miscellaneous tubes and bolts from hardware
stores, or hand-carved wood are all used. Pipes dis-
guised as, among other things, toys, pens, belt buckles
and Frisbees can fool the untrained eye. Soft drink cans,
film canisters, and other canisters can keep the "stash"
of marijuana dry and concealed from view. Small trays
are used to separate the seeds from the grass. Bongs
(water pipes made out of plastic and tubes) and power
hitters (bulb-like syringes or toy-like items) are used
to inhale more deeply and thereby get a better "high".
Roach clips (clips used to hold the "joint") may be
simple electrical clips from the hardware store or hair
clips and may be decorated with feathers.
A child under the influence of marijuana will have similar
symptoms to being drunk. Blood shot eyes; slurred
speech and impaired balance are common characteristics.
Information About Alcohol and Marijuana
Drug/Street Names
How long
Health Effects
Signs and Symptoms
it lasts in
hours
Alcohol
1-12
Causes depression, aggression,
Puffiness of face, redness of eyes,
blurred speech, disrupted muscular
depression, disorientation, shallow
coordination. Frequent use can lead
respiration, nausea, cold and
to cirrhosis of liver, pancreatitis, brain
clammy skin. Dehydration.
disorders, vitamin deficiencies and
malnutrition.
Marijuana/pot, reefer,
2-4
Can impair memory, perception &
Euphoria, relaxed inhibitions,
grass, THC, Hash, Hash
judgment by destroying brain cells.
disoriented behavior, staring off
oil, doobie, weed, bud
Raises blood pressure. Contains
into space, hilarity without cause,
more known carcinogens than even
time distortion, bloodshot eyes, dry
cigarettes.
mouth & throat.
Barbiturates,
1-16
Can cause slurred speech,
Slurred speech, disorientation,
Methaqualone/Quaaludes,
staggering gait, poor judgment,
drunken behavior with no odor of
ludes, yellow jackets, red
and slow, uncertain reflexes. Large
alcohol, sedation.
devils
doses can cause unconsciousness
and death.
Cocaine/Coke, snow,
'/2-2
Causes dilated pupils, increased
Apathy, anxiety, sleeplessness,
blow, gold dust, lady
blood pressure, heart rate,
paranoia, hallucinations, craving for
breathing rate and body
more cocaine. Weight loss.
temperature. Can cause seizures,
Constant sniffing.
heart attack and death.
Crack Cocaine/crack,
5-10 min.
More intense cocaine is getting to
Same as cocaine.
rock
the brain quicker, increasing risks of
cocaine use.
Methamphetamine
What is methamphetamine?
Methamphetamine, a derivative of amphetamine,
is a powerful stimulant that affects the central
nervous system. It is accessible in many different
forms and may be identified by
color, which ranges from lighter
colors of white and yellow to
darker colors such as red and
brown.
What does
methamphetamine do?
Methamphetamine use increases
energy and alertness and
decreases appetite. An intense
rush is felt, almost instantaneously,
when a user smokes or injects
methamphetamine. Side
effects include convulsions,
dangerously high body temperature, stroke, cardiac
arrhythmia, stomach cramps and shaking.
Chronic methamphetamine use can lead to
psychotic behavior including intense paranoia,
visual and auditory hallucinations, and out-of-
control rages that can result in violent episodes.
What are the health hazards of using
methamphetamine?
Medical consequences of methamphetamine use
can include cardiovascular problems such as rapid
heart rate, irregular heartbeat, increased blood
pressure, and stroke-producing damage to small
blood vessels in the brain. Research has shown that
as much as 50% of the dopamine-producing cells
in the brain can be damaged by prolonged exposure
to relatively low levels of methamphetamine and
that serotonin-containing nerve cells may be
damaged even more extensively.
Hyperthermia and convulsions
can occur when a user overdoses
and, if not treated immediately,
can result in death.
How is methamphetamine
administered?
Methamphetamine can be smoked, snorted, orally
ingested, and injected.
Information About Cocaine and Methamphetamine
Cocaine
What is Cocaine?
Cocaine is obtained by crushing the coca leaves
and soaking them in sulphuric acid and kerosene.
A coca paste is then formed from the mixture. This
paste is then treated with chemicals and converts
into cocaine hydrochloride, the snowy white pow-
der known as coke, snow, or blow.
What does cocaine do?
Cocaine is a stimulant that directly affects the
central nervous system. Feelings of extreme eu-
phoria, illusions of increased mental and physi-
cal strength and sensory awareness take place. A
decrease in hunger, pain and the need for sleep are
experienced. Increased heartbeat, sweating, dilation
of the pupils and a rise in body temperature occur
with cocaine use. Cocaine can be fatal, even after
using it just once. Death can come in several ways:
respiratory failure, cerebral hemorrhage, allergic
reaction to impurities added to the drug, epileptic
seizure and cardiac arrest.
How long will cocaine remain in the body?
Traces of cocaine can be found in the body for
about one week.
Is cocaine addictive?
Yes! When a cocaine addict tries to stop using the
drug, withdrawal occurs. This usually involves pro-
found depression, irritability, sleeplessness, loss of
energy, and an intense craving for cocaine.
How is cocaine administered?
Most frequently, cocaine is snorted or sniffed.
Paraphernalia include a small straw or rolled-up
piece of paper, a very small spoon, a mirror, and a
razor blade. The user makes a "line" of cocaine on
the mirror and then sniffs it through the straw. The
cocaine enters the bloodstream through the mu-
cous membranes of the nose.
The most dangerous form of use is called freebas-
ing. Freebasing is accomplished by heating the co-
caine with ether. In Deschutes County 15 1- proof
rum is used most often. This is highly flammable
and could cause an explosion resulting in burns to
the user. This product is then smoked in a pipe or
sprinkled on marijuana. On the street a marijuana
cigarette with cocaine is called "primo".
Amphetamines/uppers,
1/2-2
Increases heart rate, breathing rate,
Decreased appetite, dilated pupils,
speed, black beauties,
blood pressure. High doses can
sleeplessness, agitation, unusual
dexies
cause tremors, loss of coordination
increase in activity.
& death from stroke and heart failure.
Frequent use of large amounts can
produce brain damage, ulcers and
malnutrition.
PCP (phencyclidine)/
Variable
Increased heart rate and blood
Sweating, dizziness, numbness
angel dust, killer weed,
pressure. Large doses can cause
,
hallucinations, confusion or silence
crystal cyclone, elephant
convulsions, comas, heart & lung
and withdrawn state.
tranquilizer, rocket fuel
failure and ruptured brain vessels.
Users may show long term effects on
memory, judgment, concentration &
perception.
Heroin/Mexican Brown,
12-24
Repeated use can lead to infections
Watery eyes, runny nose, yawning
China White, Persian
of heart lining and valves, skin
,
loss of appetite, tremors, irritability
Porcelain, "H"
abscesses and congested lungs.
,
panic chills, sweating, cramps,
Can lead to convulsions, coma
nausea.
and death.
Gas & Glue/Rush, Locker
Variable
Brain damage occurs when used
Very alert, keen senses
Room, aerosol cans, amyl
over a long period of time. All these
,
hallucinations, dizziness
scrambled
nitrate, gasoline, lighter
chemicals carry considerable risk,
,
words and disconnected sentences
fluid (inhaled through a
particularly of cardiac arrhythmia.
.
Smells like whatever the child was
saturated cloth or in a bag
doing.
covering nose and mouth.)
Hallucinogens/LSD,
3-12
Dilated pupils, nausea, increased
Beady eyes, nervous erratic
Mescaline, Peyote,
blood pressure, hallucinations,
behavior, laughing, crying,
mushrooms
stomach cramps, blackouts.
personality changes, "sees",
Flashbacks, a recurrence of the drug
smells, "hears" colors. Marked
effects, may be a problem for some.
depersonalization.
MDMA/Adam, Ecstasy,
Variable up
Increased heart rate and blood
Confusion, depression, sleep
and X-TC (a Designer
to days
pressure. Blurred vision, chills,
problems, anxiety, paranoia
muscle
Drug: structural analogs of
sweating. Believed to cause
,
tension, involuntary teeth clenching,
controlled substances.)
permanent brain damage.
nausea.
Drugs Children Use
Signs and Symptoms of Alcohol
and other Drug Abuse
Any one of the following behaviors can be a symptom of normal adolescence. When these behaviors
pile up and you see changes in your child, you have reason for concern. Parental instincts can be a
valuable guide.
Personality Changes
Less caring and involvement at home
Lack of motivation
Frequent irritability
Periods of paranoia due to "dual life"
"I don't care" attitude
Unexplained mood swings alternating between
Depression and anxiety or hyperactivity and euphoria
Physical Evidence
Eye Drops (Visine, Murine, etc.)
Mouthwash or breath sprays
Cigarette rolling papers
Roach clips (device used to hold end of marijuana joint)
Bongs (glass tube structure for smoking pot)
Pipes and small screens (about the size of a nickel)
Seeds (from marijuana plants)
Burning incense-room deodorizers
Baggies
Stash Cans often disguised as cans of beer or cola, even Chapstick
Drawings of marijuana leaves on t-shirts, belt buckles
Non-prescription pills such as No Doz or Vivarin to pick them up after using depressants
Parent Power - Using Teachable Moments
Alcohol and other drugs are a part of our society. It is the parent's right and responsibility to be active in the drug
~ducation of the child. An important aspect of teaching about alcohol and other drugs is to listen carefully to
the child's views. Don't be afraid to discuss alcohol and other drug use. In your teaching, use these guidelines:
Emphasize the immediate negative consequences of
substance abuse. Long-range risks are of no value
in deterring experimentation or use. Immediate
consequences include lowering your self-worth,
throwing up, being out of control, having people
laugh at you, building up a dependency, and
creating more problems for yourself
Dispel the myth that "Everybody is doing it."
Be a positive role model yourself. Parents are
significant models for their children in all respects
including alcohol and other drug use. Children
imitate behaviors and learn attitudes about all drugs
from important adults in their lives - especially
parents.
Stress the fact that alcohol and other drug induced
highs are short-lived and not long-lasting concrete
experiences. Natural highs achieved through hard
work and effort makes fond memories and can be
recreated.
Teach refusal skills. Talk through strategies with
them for saying "no", and make sure they know
whom to call upon if help is needed in a problem
situation.
Acknowledge that as a parent you may have
experienced negative adventures, but it is not
necessary to elaborate. Admitting all your alcohol
and other drug experiences may only encourage
your child to experiment. After all, "you did it" will
be what is heard. It's important to maintain your
credibility.
Be at home while your kids are getting ready to go
out and be awake when they come home. When
they are leaving, remind them of your expectations
that they not drink, smoke or use other drugs.
If you are awake when they come home, it will
be easier for you to determine if they have been
smoking, drinking or using other drugs.
NOTE: You should also remind your child associating with the "druggies" will only
get them labeled as a user too. Guilt by association does occur in today's society
Where Kids Get Drugs/Alcohol-Parent Power
Where Do Kids Get Drugs or Alcohol
From other students in their school.
From your own liquor supply in the home.
From old prescriptions left in your medicine cabinet.
From older peers, brothers, sisters, dealers, and even parents.
From known curb service drug areas in the city or dope houses.
From the workplace - know where your child is working.
By purchasing legal over-the-counter diet pills, caffeine pills (No Doz, Vivarin); cough medicine,
Coricidin, Robitussen and other drugs.
Through magazine subscriptions.
When and Where do Kids Drink and/or Take Drugs in Deschutes County?
At parties
Before and after dances
• In abandoned buildings or homes
• When parents are not home
• House hopping
• In fields, parks and wooded areas
• Before and after sporting events
• In vehicles
• Congregating around local food stores and
shopping malls
• Before or during the school day or school
function
Before your children participate in activities, talk with them about your concern over the availability of alcohol
and other drugs and assure them that consequences will be imposed if they violate your house standards.
Kids use drugs anywhere or everywhere that they may be available
Physical Changes
Dilated pupils of eyes
Unkempt appearance
Changes in grooming habits
Weight loss, pale face, circles under eyes
Red eyes (or frequent use of eye drops)
Changes in choice of clothing
Wearing long-sleeved clothing in hot weather
Going from preppie look to rock concert t-shirt and ripped jeans
Unexplained skin rashes, increased acne
Persistent cough, frequent colds, low resistance to illness
Runny nose, eczema around the nose
Changes in sleep patterns
Changes in eating patterns
Behavioral Changes
School attendance problems
Drop in grades
Increased need for money
Parents may notice money or negotiable articles missing from home
Quitting or getting fired from job
New friends with no last names, no contact with parents
Lying, secretiveness, con-games
Mysterious phone calls - all part of "dual life"
Inability to concentrate
Spending more time in a room or away from home
Verbal and physical abuse toward parents, siblings, property
Tantrums over seemingly minor issues
Signs and Symptoms of Alcohol and Other Drug Abuse
Legal Consequences
The legal price for teenagers
It is against the law for anyone under 21 years of age to consume, transport, or
possess alcoholic beverages.
There is a legal price for parents too
Adults who provide or knowingly allow alcoholic beverage consumption by mi-
nors risk very serious civil law and criminal law consequences.
Criminal
The Oregon statute, ORS 471.410(2), refers to "Furnishing" rather than con-
tributing to the delinquency. It states, "No one other than the person's parent or
guardian shall sell, give or otherwise make available any alcohol liquor to a per-
son under the age of 21 years." The mandatory minimum penalty for a convic-
tion is a $350 fine for the 1st, $1000 for the 2nd, and $1000 plus at least 30 days
in jail for the 3rd. Additionally, providing alcohol to minors puts a young person
at risk of criminal prosecution for possessing alcohol.
Civil
Parents who host parties where alcohol is provided for their children and other
minors expose themselves to civil lawsuits and huge financial losses resulting from
alcohol related injuries and or fatalities.
False ID's
It is a class C infraction for a minor to possess false identification with the intent
to purchase alcohol.
The Adolescent Brain is Vulnerable
Brain development is a life-long process. The prefrontal cortex and the
mesolimbic brain regions, regulate "executive functions" that are critical
for learning, decision-making, and judgment, therefore, they provide kids
with the ability to plan, execute plans, solve complex problems, and integrate
feelings. These brain regions are undergoing pronounced
transformations during the teen years and are very
sensitive to alcohol and other drugs.
For kids to have more energy and achieve their
best, they need to keep their developing brains
healthy.
Use of alcohol, tobacco and other drugs during
the teen years can have a negative impact on brain
development that will last into adulthood.
Why Kids Do Drugs and the Brain
Why Kids Do Drugs?
Students hear about being high and are curious about drug affects.
Student drug abusers are almost drug crusaders. They want to turn on their friends and others for various
reasons. It becomes the "in thing to do". Some students believe it is the way to become popular, to get in a
clique, to really be where the action is. They feel that "everyone' else is doing it."
A friend is most likely to be the first person to ask your child to try beer, cigarettes or other drugs.
A desire for affection, identity, low self-esteem, feeling of being a nobody from nowhere and being left out
of everything that is important to them. Fitting in with friends becomes very important.
A lack of excitement, zest, thrills, fun and challenge in a dull, routine life. Feels that "there's nothing to do."
The need to escape from seemingly insurmountable or painful problems at home, in school, or in
the community.
The feeling of rebellion against authority, affluence and permissiveness, absence of standards and ethics.
Parents can never expect their children to be drug free unless they are too. Children need their
parents to lead by example.
Research shows that the No. 1 and No. 2 reasons for drug use among adolescents are: (1) a
significant other person (parent, uncle, babysitter) in the youth's life uses drugs and (2) peer
pressure.
Party Tips for Parents
How does your family decide on teenage privileges and responsibilities? Have you ever wished for a stan-
dard to help you make those decisions? The following guidelines are designed just for that purpose.
When Your Child Is Invited to a Party
1. When your child receives an invitation to a party, tell him/her that you intend to call the host parent to
determine whether there will be parental supervision and if alcoholic beverages will be served. Be sure
to follow through on these plans.
2. When you are comfortable with the party plans, including transportation arrangements, only then give
your consent for the child to attend the party. Be sure to know when the party ends and when your
child will be home.
3. Make it easy for your child to leave any party or situation where there is drinking or other drug use.
You should discuss this in advance. If, for any reason, your child wishes to leave the party early or has a
change in plans, he/she should be able to call you or another designated adult for assistance.
4. Make it easy for your child to talk to you about when arriving home. Being up and available when your
child comes home encourages communication and could alert you to a potential problem. Set an alarm
for yourself, if necessary.
When Your Child Is Having a Party
1. Check your child's guest list and party plans. Suggest changes if necessary, but try to be tactful.
2. Set specific beginning and ending times for the party. Have planned activities.
3. Set ground rules that are clearly understood by both you and your child in advance. These include:
• No alcohol or drugs
• No smoking
• No leaving the party and then returning
• Limit the party to appropriate areas of your house
4. Reconcile your child's plans for the party with your own standards. Don't compromise your standards
but be understanding of your child's feelings.
5. Invite parents of guests to help with the chaperoning. Make yourself and other chaperones visible at
the party. Introduce yourself to the guests. Don't hide in another room. Be seen!
Five A's for Parents
1. Be Aware of their attitudes.
2. Be Alert to their environment.
3. Be Around their activities.
4. Be Assertive in your parenting.
5. Be Awake when they come home.
Legal Consequences - Party Tips
Party Safe Homes Pledge
Parents Who Join Party Safe Homes Agree:
That we will cooperate with schools, law enforcement agencies and young people
to create a healthy atmosphere in which the use of alcohol and other drugs is no
longer considered the norm.
In order to do this, each will pledge the following:
✓ I will develop and communicate a clear position about alcohol and other drug use
with my child.
✓ I will not knowingly allow parties and gatherings in my home when I am not present.
I will agree to support law enforcement policy regarding the use
of alcohol and other drugs and encourage the use of appropriate
discipline and treatment in dealing with offenders, including
my child.
✓ I will not knowingly allow youth under the legal drinking
age to consume alcohol in my home or on my property.
✓ I wish to be informed, CONFIDENTIALLY and without
judgment, by any parent who has PERSONALLY observed
my child using alcohol or other illegal drugs.
I will make an effort to inform, CONFIDENTIALLY and without judgment, the
parents of a child whom I have PERSONALLY observed using alcohol or other
illegal drugs.
✓ This Party Safe Homes Pledge is a statement of concern and intent. Party Safe
Homes and its members are not able to guarantee or enforce compliance with
the pledge.
Putting the Neighbor back in Neighborhood.
A Reasonable Approach for Students
1. Be sure your parents know where you will be.
A. Give your parents the phone number and address of the party giver.
B. Call your parents if the location of the party is changed or if you leave the party early.
2. Return home at specified times.
3. Know how and with whom you will get to and from the party.
A. Know where your parents will be and how to reach them.
B. Make arrangements to call parents and specific friends or neighbors if, for any reason, you
need a ride home.
C. Discuss with parents possible situations in which you might need to make such a call.
4. Don't expect to be allowed to return to a party if you choose to leave early.
5. Be sure to let your parents know when you arrive home.
A Reasonable Approach for Students
A Consistent Approach for Parents
Think Again Parents encourages you to:
✓ Know your child's friends and their parents.
✓ Know where your children are and let them know where you are.
✓ Take a firm stand against alcohol and other drugs.
✓ Be awake or ask to be awakened when your children come home at night.
✓ Assure your children that they can telephone you for a ride home wherever they are.
✓ Call the host to verify an activity, find out if it is parent or school-supervised, and make sure that there
will be no alcohol and/or other drugs served. Verify if parents will be home and supervising for the
duration of the activity.
✓ Set a reasonable curfew for your child.
Let's Look at the Bottom Line
Confronting the Drug Issue
There are healthy and unhealthy ways to
respond to a problem; both take time, energy,
and planning. The following are some healthy ways
to act with youth who have a drug problem:
Don't Be Afraid to Set Standards
Caring parents set standards
Children need and want standards and rules
Caring parents say "NO" when necessary
What are the potential negative
consequences or risks we parents
take by telling someone?
1. Loss of friendship
2. Possibility of hurting someone by exposing
their denial of the problem
3. Risk of exposing sensitive feelings
4. Possibility of being called a "busy-body"
or a "narc"
Confront the Issue
Remain calm
Be open and honest about your feelings
Talk to your child later or the next day-after the
high wears off
Follow through with promised consequences
Seek help from the professionals (see following
page for list of resources)
Don't Minimize and Deny
Face up the facts
Don't excuse behavior
5. Becoming emotionally involved in the situation
6. Being blamed or faulted for involvement
What are potential positive conse-
quences or risks we parents take by
telling someone?
For The Time Being, Don't Ask Why
Don't feel guilty
Work through the problem
Don't give up on the child
1. A child can be helped to be drug-free
2. A child can be notified that his/her behavior is
sending the wrong signals
3. A family can be helped to recognize a problem
14 PartySafehmes
Let's Look at the Bottom Line
How Can I Help?
Watch for frequent, short visits by adults or teenagers on a street corner, in a residence
or vehicle.
Watch for groups of school-age children who gather together on a regular basis for a short
period of time.
Look for the unusual exchange of small items (small bags or packets), distributed by
individuals or groups.
V Look for suspicious looking individuals who are unfamiliar to you.
Report the sale of alcoholic beverages to minors if you are aware of such sales.
Don't take matters into your own hands by confronting people you suspect of drug dealing
or breaking the law.
Keep good records of the addresses, car license plate numbers, and a description of the
event for reporting purposes.
V Report your information to the Redmond Police Department or the Deschutes County
Sheriff's Office.
Non-Emergency Numbers
Redmond Police Department
541-504-3400
Deschutes County Sheriff's Department
541-693-6911
In An Emergency Situation
CALL 9-1-1
Goals of Party Safe Homes
To aid parents in educating themselves about
the use of alcohol and other drugs
by adolescents.
If I join Party Safe Homes, won't my
child think I don't trust him/her?
2. To encourage parents to openly communicate
with one another about parenting concerns.
3. To assist parents in establishing reasonable
guidelines for their children's behavior.
4. To make parents aware of alternate activities
available to youth.
5. To function as a continuing support network
for both parents and children.
Trust does not have to be blind trust. Parents
have every right to question where their chil-
dren are going or what they are doing. Sometimes
we need to love our children enough not to trust
them. We need to realize that they are growing up
in a world much different from the one in which
we grew up.
14 PamSafeHomes
What Is A Party Safe Home?
What is a Party Safe Home?
Party Safe Homes is a parent networking cam-
paign based on the idea that the most effective
way to stop a child from using alcohol and other
drugs is to stop his or her friends (peer groups)
from using them too. One of the main reasons kids
take drugs is pressure from peers. When parents
join together and take a united stand against alco-
hol and other drug use, they become much more
effective than if they acted separately. Parents can
help each other resist pressure from parents who
do not set the same limits on their children's be-
havior.
This Party Safe Homes Pledge is a statement of
concern and intent.
Why Should I Join the Campaign?
Parents are the best protection young people have
against drug abuse. REMEMBER, FRIENDS
DON'T SET BOUNDARIES; PARENTS DO!
Finding Help
Ttere are many public and private counseling, therapy, alcohol, and drug treatment services available
o teenagers or families experiencing a problem. Below is a list of local counseling, therapy, alcohol,
and drug treatment services. Inclusion or exclusion of any agency or service in this list does not imply ap-
proval or disapproval.
For Problems of tobacco, alcohol and other drug
use and abuse
Al-Anon ....................................541-389-5231 (anytime)
or 541-593-5717 (evenings only)
Alateen ...................................................1-800-344-2666
Best Care Treatment Services 541-504-9577
..............................................................or 541-504-2218
Central Oregon Intergroup 541-923-8199
Meth Family & Friends Support Group.. 541-548-3826
Narcotics Anonymous - Bend HOTLINE 541-416-2146
Pfeifer and Associates ............................1-800-383-4260
Rimrock Trails 541-447-2631
Tobacco Cessation Program - Fresh Start. 541-385-6390
Tobacco Cessation Program-SmokeEnders 800-828-4357
National Traffic Safety Institute 800-588-6874
Youthline (Alcohol and Drug HELPLINE)
.................................................1-877-553-TEEN (8336)
For Problems of Out of Control Children or Teens
Redmond Juvenile Services (M-Th)........ 541-504-3485
Family Resource Center - helpline.......... 541-389-5468
For Hospital Emergency Services
St. Charles Redmond 541-548-8131
St. Charles Behavioral Health Services.... 541-388-7730
To Report Suspected Drug Activity
Deschutes County Sheriff's Office........... 541-693-6911
Crime Stoppers
For Counseling and/or Referral Services
Redmond Human Resources 541-548-6068
Redmond Adult and Family Services....... 541-548-5547
For Assistance with Alcohol and Other Drug
Problems and/or Counseling Referrals Contact
Your School Counselor
Evergreen Elementary
541-923-4865
John Tuck Elementary
541-923-4884
Lynch Elementary
541-923-4876
Tom McCall Elementary
541-526-6400
Vern Patrick Elementary
541-923-4833
Elton Gregory Middle School
541-526-6440
Obsidian Middle School
541-923-4900
Edwin Brown High School
541-923-4868
Redmond High School
541-923-4800
Redmond International School of the Cascades
541-923-4840
Deschutes County Health Department...
541-617-4775
Deschutes County Mental Health
541-322-7500
541-322-7552
541-322-7563
Cascade Youth and Family Center - Redmond
541-382-0934
PaMSafehmes
Helping and Finding Help
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Highly Regarded
is One of Fe
Deschutes County is fortunate to have one of the few
Oregon mental health programs specifically for seniors.
The purpose of the Seniors Mental Health Program is to
-help seniors with mental health challenges. Staff works
to prevent isolation, improve quality of life, avoid
unnecessary hospital stays, prevent suicide and give
support to caregivers.
The County's Seniors Mental Health Program consists
of five gero-psychiatric specialists who see clients
in all local elder care facilities, private homes, the
County Jail, and in local hospitals. The team also visits
homeless seniors in the community.
Senior clients have a variety of diagnoses including
dementia, depression, alcohol and/or drug abuse,
schizophrenia and bipolar disorder. Most clients also
have one or more chronic physical illnesses.
Seniors Mental Health services include but are not
limited to:
• Case management
• Crisis evaluations and interventions
• Mental health evaluations and assessments
• Individual, group and family counseling and
education
•Service coordination and linkage to other
community resources
• Consultation and coordination with medical care
providers and with residential care providers
• Training and education on geriatric mental health
to other agencies and to elder care providers
• Public presentations and education on geriatric
mental health
• liaison to Oregon State Hospital and private
inpatient facilities serving older adults with
psychiatric illnesses
• Advocacy
In June, 2003, Mental Health staff launched the
Enhanced Care Outreach Services (ECOS) program, an
inpatient long-term care program for seniors having
Director's Message
Deschutes County citizens,
During the recent fires in San Diego, a CNN reporter interviewed
a young family who was helping others in need. Despite the
devastation, they all spoke of the blessings in their lives and their
responsibility to help others in their community.
America's health care crisis is not lost on anyone touched by a
mental illness or an addiction. Over 10,000 of your friends and
neighbors in this County face a serious mental illness. Many more
Seniors Program
N in Oregon
severe difficulties with their mental illness. There are
currently nine clients in this expanding program. ECOS
staff provides intensive case management, counseling
and behavioral interventions. ECOS staff also consults
with families and care providers of these clients.
For more information about the Seniors Mental
Health Program, please call 385-1746.
7/1/2005-
6/30/2006
7/1/2006-
6/30/2007
Clients
387
424
Contacts
4,512
4,386
Service hours
3,999
3,680
OREGON'S SENIOR POPULATION WILL
INCREASE DRAMATICALLY
50%
41%
40% 33% ■Changein
30% Oregon's
population
20% .Change
13%`
town in 65+
5` 13%` population
0
2000-2005 2005-2015 2015-2025
DESCHUTES COUNTY'S SENIOR POPULATION PREDICTED
TO INCREASE 63% IN 10 YEARS
80%
63% 6o%: ■ Change in
60% Deschutes
40'/? County
20% 20% population
2ovo
EChange
0 in 65+
2000-2065 2605-2015 2015-2025 population
For the staff at the Deschutes County Mental Health Department,
our blessings are our community partners who work tirelessly to
help people and the public resources we use to finance the services
highlighted in this report. For many low income people and those
with disabilities, these blessings may be their best hope for care
when they need it most.
Our responsibility to County residents is to use public funds
wisely, to hire capable and committed staff, to work through our
agency partners and to offer effective services. Our responsibility,
along with that of NAMI of Central Oregon and others, is to carry
the messages that recovery from a mental illness or an addiction is
Mental Health
Department Seeks
Advisory Volunteers
Board Helps Determine Spending
of Mental Health Dollars
The Deschutes County Addictions and
Mental Health Advisory Board is seeking
volunteer Board members.
Citizens who are interested in helping
plan, guide and evaluate how publicly
funded mental health, developmental
disabilities and substance abuse
treatment services are delivered in
Deschutes County are encouraged to
apply.
The Board is in particular need of
representation by those with an interest
or background in:
• The needs of and services available
to those living with a developmental
disability
• The La Pine area
• The Latino community
• The medical community
Board members are asked to attend
monthly meetings and serve three-year
terms of office. Board members are not
compensated for serving.
For more information about serving
on the Deschutes County Addictions
and Mental Health Advisory Board or
for an application packet, please call
322-7504.
We hope you'll take this opportunity
to learn more about your Mental Health
Department and about our work in the
community. We also hope that, like
us, you'll consider your blessings and
responsibilities to help others in the
community.
Enjoy the read. Please contact me
with any suggestions or questions.
I can he reached at (541) 322-7502 or at
scottj@deschutes.org.
face depression; an alcohol, drug or gambling addiction; or the possible, that support is often available for people with a disability Scott Johnson, Director,
challenges of a developmental disability. and that quality of life can be improved. Deschutes County
Mental Health
e For futher information, contact Deschutes County 322-7500
Deschutes County Mental Health Department Report • November 2007 • Page 1
Services for Children
Clinic
Deschutes County Mental Health's Child and Family Program provides
outpatient treatment services. These services help members of the Oregon
Health Plan and tow income children (ages 0-18) and their families.
Services include:
• Mental health assessments
• Consultation
• Parenting skills development
• Child skills development
• Individual, group and family therapy
for children, adolescents and family members
Schools
Working in partnership with the Bend-La Pine and Redmond school districts,
staff is also able to provide services in some of the local schools.
These services include:
• Mental health assessments
• Child development skips training
• Behavioral consultations and interventions
Clinic Services
July 1, 2006-June 30, 2007
Children
Direct Service
Hours
Individual counseling
512
2,820
Group counseling
33
215
Other services - such as consultation,
239
parenting skills, child skills training
School Services
2006-2007
Children
Served
Clinician
Hours
Schools
Bend-La Pine
143
1,691
17
Redmond
128
1,182
11
Other locations
57
754
4
Totals
328
3,627
32
KIDS Center
The KIDS Center serves approximately 450 children each year and offers evaluations and treatment for sexual abuse, physical and emotional abuse, and neglect.
The County's Child & Family Program is the mental health provider at the KIDS Center and provides all therapy for these children. In 2006, 279 children received
mental health services, an increase from 252 children who were served in 2005.
The Wrap-Around Program; More Intensive Help
Started in October 2005, the Department's "wrap-around" program addresses
children's mental health needs by providing intensive, community-based
treatment. The program helps children succeed at home and in the community
through coordination with Child Welfare, Juvenile Community Justice, Mental
Health, and the education system. In the "wrap-around" process, a team of
people involved in the life of the child works in partnership with the family
to develop a plan of support for the child. This new approach can help many
children and can be less restrictive and costly.
Oct. 1, 2005-
Sept. 1, 2006
Oct. 1, 2006-
Sept. 1, 2007
Wrap-Around clients
46
67
Direct service hours
2,029
2,218
Contacts
3,799
2,818
Hours working with partner agencies
1,301
1,554
Sate Schools Are a Priority
2004-05
2005-06
2006-07
Comprehensive Safe School Risk Assessments are provided to Iocal schools upon
Referrals
88
14
86
referral. Assessments are evaluations of a child to determine risk factors that may
indicate a potential for present or future a
ression and/or violence
Comprehensive service hours
261
299
436
gg
.
Referrals
k Crime Related
Completed Assessments
Low Risk
Moderate Risk
High Risk
Bend-La Pine
53
47.2%
44
12
21
10
Redmond
30
83.3%
24
3
13
8
Sisters
2
0.0%
2
2
Other
1
0.0%
1
1
TOTALS
86
71
18
34
18
Not all referrals result in an assessment:
• Further screening by the school district indicates the comprehensive assessment is not needed or not appropriate
• Parents do not authorize the assessment
• The family moves out of the area
• Criminal charges are dropped
• No follow-up by the school or by the parents
• A different referral is more appropriate for the child's needs
For more information about the Deschutes County Mental Health Child and Family Program, please call 322-7500 or visit mm.deschutes.org/mentalhealth.
Services for Families
Divorcing Parents and Mediation; A Focus on the Child
Deschutes County Mental Health offers mediation services to help divorcing parents agree on a parenting plan that is best for their children. Last year
(2006-07), 81 couples received mediation services; 67 percent of these cases resulted in full or partial agreement on custody and parenting time issues. An
additional 43 couples received consultation.
When Custody Is an Issue
In 2006, the Department initiated a new service to help divorcing families. Working with the Court, Mental Health provides court-ordered, lower-cost,
custody evaluations for divorcing couples who cannot agree on the custody of their child. The Court finds these evaluations to be very helpful in settling
cases; about 95 percent of the cases settle after the Court receives the custody evaluation. Since the program started, staff has received 18 referrals from the
Court. It takes about 40 hours to complete each custody evaluation.
Developmental Disabilities' Family Support Services; Keeping Families Together
Family support services enable children with developmental disabilities to continue to live in their family homes. Mental Health staff serves 40-45
families each year. Families stay in the program until the child turns 18, or the support services are no longer needed.
Services include:
• Assistance to the family in determining support needs and providers Continued on page 3.
Page 2 • Deschutes County Mental Health Department Report • November 2007
Continued from page 2.
• • Arranging resources and support to meet the child's needs
• Personal supports include respite care, transportation, in-home help, community and social activities,
and adaptations to make the child's environment accessible.
® Respite Care Can Make All the Difference
N, The LifeSpan Respite Care Program is an informational and referral service for families caring for a
loved one with special needs. In the past year, this program has provided stipends to 65 local families.
Based on survey responses, 95 percent of families report less family stress after receiving respite care;
98 percent of families report increased positive family interactions as a result of the service. The
program also trained and performed background checks in order to add 12 new care providers to the
community list. Because of these additions, there are now 73 respite care providers in Central Oregon.
Respite services continue to grow despite reductions in State funding.
2004-0S 2005-06 2006-07
People served 188 271 255
State funding $20,000 $25,000 $22,000
Services for Adults
Family Drug Court; A Successful First Year
Deschutes County implemented a Family Drug Court in August, 2006. The program is a
collaboration of the following organizations:
• BestCare Treatment Services • Deschutes County Health • Family Resource Center
• CASA (Court Appointed Special Advocates) • Deschutes County Mental Health • Ready * Set * Go
• Deschutes County District Attorney • Deschutes County Parole and Probation • State Trial Courts
• Deschutes Family Recovery
Family Drug Court uses a team approach to provide services for families who have lost custody of their
children due to a drug related arrest. The program's goals are to help parents recover from drug abuse, to
reunite families and to keep children safe. Treatment is combined with ongoing judicial supervision in an
effort to break the cycle of addiction, crime, and repeated incarceration.
2006-2007
Participants in Family Drug Court
24
Children served
46
Female
87%
Primary drug used: methamphetamine
79%
Employed or in school
54%
No new violations
79%
Five children in two families were returned to their homes.
0
Mental Health Court
Mental Health Court is a partnership between the State Courts, the Deschutes County District Attorney,
the Defense Bar and Deschutes County Mental Health. The program is for adults with mental illness who
face legal charges. It is a voluntary program for persons with mental illness who have been charged with a
non-person misdemeanor crime. These adults can receive treatment instead of serving jail time.
2004-0S 2005-06 2006-07
Clients served 18 38 35
Court coordinated hours 89 187 242
Homeless Outreach: A Critical Issue
Many Mental Health Department clients face challenges finding safe and affordable housing. Department
staff actively work to increase outreach and support services in cooperation with community resource
organization like the Bethlehem Inn. The Inn is Central Oregon's largest, emergency homeless shelter.
2004-0S 2005-06 2006-07
Clients served 17 21 39
Direct service hours 74 324 519
A Bridge to the Community After Jail
Mental Health's Jail Bridge Program provides services to adults with both mental health and substance
abuse issues in the Deschutes County corrections system. By providing intensive case management, this
program reduces repeat offenses and improves clients' functioning in the community.
2004-05 2005-06 2006-07
Clients served log log 93
Direct service hours 890 724 51,
Gambling Addictions Can Be Treated Effectively
It may seem like fun and games, but gambling can be a serious problem. Deschutes County Mental
Health has a treatment program for adults who have an addiction to gambling. This program provides free,
confidential services to gamblers and/or family members in Deschutes, Crook and Jefferson counties.
2004-05
2005-06 1
2006-07
Clients served
61
67
1
9o
Hours of individual counseling
357
397
528
Hours of group counseling
377
475
586
0
Community Treatment Services
Deschutes County Mental Health offers assessment, individual counseling, group therapy, medication
evaluation, and referral services to adults experiencing either short- or long-term mental health or
emotional problems.
2004-0S 2005-06 2006-07
Clients served 636 647 624
Direct service hours 6,767 5,398 5,834
Alcohol and Drug Addictions Treatment
Outpatient alcohol and other drug treatment for adults may include an evaluation, individual counseling,
group treatment, random urinalysis testing, and encouragement to participate in community programs such
as Alcoholics Anonymous and Narcotics Anonymous. The following data relates to the Department's direct
services. Mental Health also funds services through other treatment providers including Pfeifer & Associates,
BestCare Treatment Services, Serenity Lane and Rimrock Trails.
2004-0S 2005-06 2006-07
Clients served 179 159 165
Direct service hours 2,461 1,757 1,771
Community Support for a More Serious Illness
Adults with a more serious and persistent mental illness are provided services that may include supported
housing, supported employment, intensive case management, outreach, medication management, individual
and group therapy, skills training, daily structure and support, Rainbow Clubhouse (a restorative program
where individuals with mental illness meet on a regular basis to regain confidence and skills to lead
productive and socially satisfying lives) and consumer-run programs.
2004-1S 2005-06 2006-07
Clients 389 446 452
The Developmental Disabilities Program
This program provides services to over 400 people with developmental disabilities and their families.
Services include case management, advocacy; and assistance to access residential, vocational and support
services. The program also provides crisis intervention services and monitors the quality of services clients
receive. The Developmental Disabilities program serves children and adults in residential programs, those
living with family, and those living independently.
Finding Help in a Time of Crisis
The Mental Health Crisis Team; A Critical Service to the Community
The Community Assessment Team (CATeam) provides intervention and assessment services when
there is a significant concern about a persons safety due to mental illness or substance abuse. This
service is provided 24-hours a day, seven days a week.
2004-05 2005-06 2006-07 PRE-COMMITMENT INVESTIGATIONS
Peo le served 638 654 744 400
307
Hours 1,983 2,553 3,106 300
The CATeam also conducts pre-commitment 200 191 239
investigations in Deschutes County to determine if people
should be required to receive a higher level of care. The loo
number of investigations has risen dramatically in recent
years: -0
2004-2005 2005-2006 2006-2007
Developmental Disabilities; Providing ® Investigations
Help When It Is Needed Most
The Developmental Disabilities program provides crisis services in Deschutes, Jefferson, Crook and
Lake counties. Services may include consultation, evaluation, and temporary or long-term placement.
Staff addresses issues that cause civil commitment, life threatening situations for adults, or out-of-
home placement for children.
This past year:
• 16 adults and children were placed in long-term care
• 42 cases were evaluated to determine eligibility for crisis services
• 18 clients were served with short-term assistance
Protective Service Addresses Abuse
Developmental Disabilities protective service investigates allegations of abuse and assures that
clients are safe. Staff also conducts investigations when allegations meet State criteria for abuse. During
the past year, there were 18 referrals; resulting in five protective service investigations, five cases were
closed without requiring an investigation, and eight referrals did not meet the abuse criteria.
2004-0S 2005-06 2006-07
Allegations of abuse 19 6 14
Number substantiated 11 2 1
Source: Oregon Department of Human Services Continued on page 4.
Deschutes County Mental Health Department Report • November 2007 • Page 3
NAMI of Central Oregon: A Source of Support, a Voice of Reason
To families, friends and those who have any form of mental
illness; there is a caring, helpful and understanding group of
dedicated people that share and fully understand the needs
surrounding all forms of mental illness. These caring people
are NAMI members!
NAMI (National Alliance on Mental Illness) is the nation's
largest grassroots mental health organization. It is dedicated
to improving the lives of people living with serious mental
illness, their families and loved ones. The organization has
become the nation's voice on mental illness and includes
organizations in every state and in over 1,100 local
communities. These groups join together to meet the NAMI
mission through advocacy, research, support and education.
The National Alliance on Mental Illness is dedicated to the
eradication of mental illnesses and to the improvement of the
quality of life of all whose lives are affected by them.
Continued from page 3.
Mental Health Acute Care Services
The Critical Role of the Cascade Healthcare Community
All three of Central Oregon's counties work closely with
Cascade Healthcare community. We help coordinate services, see
clients, and fund acute care services for low-income people and
Oregon Health Plan members in Central Oregon.
Acute care services are:
The Psychiatric Emergency Services (PES) unit at St. Charles
Medical Center, Bend; consists-of five hold rooms for a more
restrictive level of care for individuals in more acute psychiatric
distress. From July 2006 through June 2007, 546 patients were
admitted into Psychiatric Emergency Services.
Sage View is the only inpatient psychiatric facility east of
the Cascades. The facility provides intensive, solution-focused
therapy on a short-term inpatient basis to begin healing
damaged emotions, addictions, mind and spirit, broken lives and
relationships. Sage View's healing health method - mind, body
and spirit - combined with group and individual therapy and
consistent structure; help people stabilize and begin recovery
from acute mental health crises. Sage View served 507 patients
between, July, 2006 and June, 2007. For more information, call
Sage View at (541) 322-2700.
Patient satisfaction scores are outstanding;
• 95.3 percent would recommend Sage View to others
• 95.3 percent would choose Sage View again if
they needed care
• 95.3 percent felt staff worked together to care for them
• Patients gave Sage View an overall rating of 95
NAMI National advocates on the federal level to ensure far
and unbiased federal and private sector policies are in place.
The National Alliance on Mental Illness is also committed to
research for treatment and cures for mental illness.
NAMI of Central Oregon includes active, dedicated members
with any form of illness, their families and friends. The group
works tirelessly to provide support, education, and advocacy
to family members and to people living with mental illnesses.
Monthly NAMI support groups are held at St. Charles
Medical Center, 2500 NE Neff Rd., in Bend at 5:30 p.m.
on the third Tuesday of each month throughout the year.
Informative affiliate meetings are scheduled at 7:00 p.m.
following support group meetings each month, except during
the summer.
NAMI membership provides benefits in the local, state and
NAMI National organizations. -
For more information about the National Alliance on Mental
Illness, call 408-7779 or visit www.NAMI.ora and locally,
www.NAMICentralOregon org.
Community Resources
Deschutes County Mental Health Services
2577 NE Courtney Dr., Bend, Oregon 97701
Services are also available in Redmond and La Pine
Health Care (Continued)
Ochoco Community Clinic (Prineville) (541) 447-0707
Volunteers in Medicine Clinic of the Cascades (541) 330-9001
24-hour Crisis Services (541) 322-7500
Community Support Services (541) 330-4637
Developmental Disabilities (541) 322-7554
Divorce Mediation Services (541) 385-1719
LifeSpan Respite Care (541) 322-7550
Mental Health, Alcohol & Drug Treatment...... (541) 322-7500
Seniors Mental Health (541) 385-1746
Community Services
Deschutes County is fortunate to have a wide range of services
available in the community:
1. Community Resource Book, published by the Family
Resource Center, (541) 389-5468
2. Directions Community and Seniors Services Directory,
published by COCOA and RSVP, (541) 548-8817
These booklets list a variety of valuable community resources.
For more information, please visit www.beehivecascades.ora.
Help Lines
Mental Health Financial Report
Federal, State and County Funds Make Services Possible
Department income: in Oregon, County Mental Health
programs rely on public funds to provide services. Direct
federal and state grants are 48 percent of the budget. Public
funds from other sources including school districts and courts
as well as insurance and patient fees also help.
Deschutes County Commissioners contributed $1,462,516
this year from the County's General Fund. This funding is
critical and allows the Department to increase help for the
uninsured and those most in need. The budget increased 6
percent this year. New State funds from the 2007 Oregon
Legislature have not been received or included thus far.
Department &penses: j Final
_2006 2007
Personnel casts 57 X 'l
Matenak & services •S L~>»
Capital outlay SL~.OOG r'j~l
Dotal 570,474,396 8,r1
1,ftdes pass-through funds that - provided directly by the State to private agencies in 20072008
Oregon Health Plan (800) 359-9517
Bend (541) 388-6010
La Pine (541) 536-5380
Madras (541) 475-6131
Prineville (541) 447-3851
Redmond (541) 548-5547
Alcohol and Drug HELPLINE
(800) 923-4357
Youth line
(877) 553-8336
Alcoholics Anonymous Hotline
(541) 548-0440
Cascade Youth & Family Center Hotline
(800) 660-0934
Deschutes County Mental Health
24-Hour Crisis Hotline
(541) 322-7500
Family Resource Center Community Helpline (541) 389-5468
Gambling Hotline
(877) 695-4648
National Suicide Prevention Lifeline
(800) 273-8255
Oregon SafeNet Maternal & Child Health Hotline (800) 723-3638
Saving Grace (family violence/sexual assault) Hotline
Bend
(541) 389-7021
Outside of Bend
(800) 356-2369
Senior Help Line (541) 504-0392 or (877) 704-4567
Special Education Help Line
(888) 891-6784
Shelter
The Bethlehem Inn
(541) 322-8768
Cascade Youth & Family Center
(541) 382-0934
Shepherd's House
(541) 388-2096
NeighborImpact (various services) (541) 548-2380 Transportation
Health Care
Community Clinic of Bend....:...;,.............. (541) 383-3005
Crook County
Health Department
(541) 447-5165
Mental Health,
Lutheran Community Services, NW
.....(541) 477-7441
Deschutes County Health Department....
(541) 322-7400
Jefferson County Health Department
(541) 475-4456
Mental Health, BestCare Treatment Services .
(541) 475-6575
Mt. Jefferson Community
Care Clinic (Madras)
(541) 475-7800
Bend Area Transit
(541)
322-5870
Cascades East Ride Center (transportation
to medical
appointments)............ (541) 385-8680
or (866)
385-8680
Central Cascade Lines
(between La Pine and Bend)
(541)
536-0200
Dial-A-Ride (seniors and disabled)
Bend
....(541)
389-7433
Prineville
(541)
447-6429
La Pine
(541)
536-3207
Redmond
....(541)
548-0466
Madras
(541)
475-6494
Sisters
(541)
548-8817
Page 4 • Deschutes County Mental Health Department Report • November 2007
(Left to right) Pam Marble, Senator Ben Westlund, Gary Smith, Patricia von Riedl, Roger
Olson, Beth Winn, Dee Bamen, Patrick McGinn, Cathy Speckmann, Robert Marble